MEDICARE: DR. DAVID J FREEDMAN D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00967	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548263650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J FREEDMAN D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 825159
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-5159
Country	:	US
Telephone Number	:	301-933-7133
Fax Number	:	301-933-7137

Provider Business Practice Location Address
First Line	:	3801 INTERNATIONAL DR
Second Line	:	SUITE 204
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-1550
Country	:	US
Telephone Number	:	301-598-0130
Fax Number	:	301-598-5091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/02/2025

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